| NPI | 1598101925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2324041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37754) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: RI APRN00058) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-12-30 |